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Gerald T Licari DDS PC

Dentist in Lake Odessa, MI · enumerated 2006 · authorized official Gerald Licari, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215024369

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Registry record

Entity type Organization (Type 2)
Legal business name Gerald T Licari DDS PC
Practice address 1032 4th Ave, Lake Odessa, MI, 48849
Phone (616) 374-8828
Enumeration date Oct 9, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers · License 2901011834 (MI) Primary

Authorized official

Name Gerald Licari
Title President
Phone (616) 374-8828

Other identifiers

Identifier Type State Issuer
4057629 Medicaid MI -
11834 Other MI BLUE CROSS BLUE SHEILD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Gerald T Licari DDS PC?
NPPES lists Gerald Licari (President) as the authorized official for this organization.
What is the NPI number for Gerald T Licari DDS PC?
The NPI for Gerald T Licari DDS PC is 1215024369, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.